ERguru

I know where there are 3:1 ratios and I will share! In an ER in Metairie, La [adjacent to New Orleans] the staffing is set for 3:1 ratios, now certainly sometimes you have a set of siblings in one room, or we double bunk a trauma bay because we get 5 spineboarded pts in. But our staffing is based on 3:1. Check us out online here: http://www.eastjeffhospital.org/ AND put in an application online.

Y2KRN, Good luck to you on your new adventure! I am an educator in an ER and currently execute a program to orient new grads. Hopefully with your experience you will bring organization & time management skills. Those take time to develop. The ER is organized in a very unique manner. You need to study EKG rhythms, ACLS protocols, PALS protocols, Sheehy's book is great [i developed 5 days of lecture from it alone]. The ENCC is also very good. Check out trauma websites to develop a thought process of trauma assessments. trauma.org is just great. The "seasoned" staff will want you to ask questions, but on the flip side will want you to articulate clues and concepts about the patient care process. And the big push in the ER from the moment the patient hits the door is "where are they going?". So always look to differentiate the history, assessment, diagnostic testing, etc to discern a disposition plan and then be ready to execute it in a timely manner. ERguru

I am looking for information on programs to train staff of ER, psych, etch on how to prevent & manage aggressive & violent behavior. Do you have a program that you use? Did you purchase a program or did you develop it yourself. If you purchased, what of the continueing costs with each training session? Any information would be great. Thank You